Author's articles
Sexual Dysfunction - Psychological Treatments
By David Crawford · 13 years ago
Currently, we are in a climate that overlooks and dismisses psychological treatments. One of the reasons for this may be that due to sociocultural pressure in the medical and larger culture, physiological treatments are seen ...
Gender Differences in Sexual Feelings
By David Crawford · 13 years ago
Our hypothesis is that in women other (stimulus or situational) information beyond stimulus explicitness determines sexual feelings, whereas for men peripheral feedback from genital arousal (and thus stimulus explicitness) is the most important determinant of ...
Activation And Regulation Of Sexual Response
By David Crawford · 13 years ago
Processing of Sexual Information
In a series of studies we conducted in the 1990s, we consistently found that women’s genital response and sexual feelings are not strongly correlated, and that affect influences sexual feelings. Other ...
Female Sexual Arousal Disorder - Diagnostic Procedures
By David Crawford · 13 years ago
An ideal protocol for the assessment of FSAD should be constructed following theoretical and factual knowledge of the physiological, psychophysiological, and psychological mechanisms involved. The protocol then describes the most parsimonious route from presentation of ...
Female Sexual Arousal Disorder - Diagnosing FSAD
By David Crawford · 13 years ago
FSAD refers to inhibition of the "vasocongestion–lubrication response" to sexual stimulation. In the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), FSAD is defined as the pervasive or recurrent inability ...
Female Sexual Arousal Disorder - Anatomy and Physiology
By David Crawford · 13 years ago
Clitoris and Surrounding Erectile Tissue
There is a considerable density of tactile receptors in the clitoris. The anterior vaginal wall is also rich in tactile receptors. Freud entertained a developmental idea about excitability to explain ...
Female Sexual Arousal Disorder
By David Crawford · 13 years ago
The Maiden Must Be Kissed Into A Woman
Most pharmacological treatments that are currently being developed for women with sexual arousal disorder are aimed at remedying a vasculogenic deficit. In a study we did in ...
Age-Related Hypogonadal Syndrome - Psychotherapy
By David Crawford · 13 years ago
O’Carroll surveyed the psychological and medical literature from 1970 to 1989, searching for controlled treatment studies of HSDD. He found eight such reports, two of which involved only men. (Of the other six, two included ...
Age-Related Hypogonadal Syndrome
By David Crawford · 13 years ago
Terminology and Definitions
"Hypogonadism" refers to the consequences of diminished function of the gonads; occurs at any age and for a variety of reasons; and is classified into two forms on the basis of the ...
Male Hypoactive Sexual Desire Disorder - Drugs
By David Crawford · 13 years ago
General Comments
Unfortunately, few double-blind placebo-controlled trials exist to guide clinicians in understanding the sexual impact of medications. As a result, much of the information that follows is based on less refined information as, for ...
Male Hypoactive Sexual Desire Disorder - Epidemiology
By David Crawford · 13 years ago
The best information on the epidemiology of sexual disinterest in men comes from surveys of the general population and convenience samples. In the literature on this subject, little attempt is made to distinguish between the ...
Female Hypoactive Sexual Desire Disorder - Hormonal Treatment
By David Crawford · 13 years ago
Testosterone
Long-term data for safety and benefit of testosterone therapy in women are lacking, but such data are required before long-term use of testosterone can be recommended. Similarly, safety data for the use of testosterone ...
Female Hypoactive Sexual Desire Disorder - Psychological Treatments
By David Crawford · 13 years ago
Psychological therapy is the mainstay of the management of low sexual desire/interest. Given the mandatory blending of mind and body, making deliberate changes in thoughts, attitudes behavior, leads not only to changed feelings and emotions ...
Sexual Dysfunction - Partner Consultation?
By David Crawford · 13 years ago
Although CME courses recommended that patient–partner–physician dialogue was best enhanced through patient–partner education during conjoint visits, there was anecdotal evidence that physicians were not regularly meeting with partners of sexual dysfunction patients. This author undertook ...
Therapy for Sexual Dysfunction - The Focused Sex History
By David Crawford · 13 years ago
A focused sex history is the clinician’s most important tool in evaluating sexual dysfunction, as it is most consistent with the "review of systems" common to all aspects of medicine. This limited history gives clinicians ...
Combination Therapy for Sexual Dysfunction: Integrating Sex Therapy and Sexual Pharmaceuticals
By David Crawford · 13 years ago
We know, clinically, that many PDE-5 nonresponders will be restored to sexual health through a CT integrating sex therapy and sexual pharmaceuticals. Yet how do we conceptualize such a model so that standard treatment algorithms ...
Treating Sexual Dysfunction - Barriers To Treatment Success
By David Crawford · 13 years ago
Approximately 90% of men who seek assistance for erectile dysfunction are treated with PDE-5s, all of which are reasonably safe. All are completely contraindicated with concomitant nitrate use; with some additional warnings and/or contraindications attached ...
Medical Treatments for Erectile Dysfunction
By David Crawford · 13 years ago
The 1980s saw a progressive shift away from psychological treatments of sexual dysfunction to an emphasis on surgical and medical solutions for improving sexual health. Simultaneously, there was a progressive shift within the medical community ...
Models For Treating Sexual Dysfunction
By David Crawford · 13 years ago
Sex Therapy
Sex therapy theory and technique were derived from the pioneering works of both Masters and Johnson and Kaplan. Initially Masters, a gynecologist, used an innovative 2 week, mixed-gender, co-therapy team, quasiresidential approach. Sex ...
Sexual Dysfunction - Evolving Models
By David Crawford · 13 years ago
Most of the clinicians involved in the treatment and/or research of sexual dysfunctions/disorders are probably not very satisfied with the current nomenclature, which is mostly unidimensional and not including all nuances and aspects of sexual ...